The Australian Government has proposed changes to bulk billing incentives, rolling out from 1st November 2025.
This dashboard has been designed to help you understand what these changes might mean for your own billings.
It analyses your historical services and billings within the selected date range, and models what these might look like under the new bulk billing arrangements.
TOP TIP! The true impact on your practice’s revenue, patient care, and workflows will depend on many factors. The calculations shown are estimates based on current information and do not include any service fees or other deductions. Always review the final legislation before making business decisions.
The sections included in this article are:
- Upcoming changes to bulk billing incentives
- How to use this dashboard
- Dashboard figures explained and Comparison breakdown
- Key takeaways
Upcoming changes to bulk billing incentives
The Australian Government has proposed changes to bulk billing incentives, which are set to roll out on 1st of November 2025. This dashboard analyses historical services and billings at the Practice in the selected date range, and uses that to calculate what billings might be under the new arrangements. It goes without saying that true impact of the changes on practice workflows, patient care, revenue, and costs will depend on many factors beyond the scope of this analysis. This page is designed to provide some hard numbers to help understand what the changes mean for you.
- Upcoming changes to bulk billing incentives in General Practice
- Strengthening Medicare with more bulk billing
- More bulk billing - case studies
- Announcement of 50/50 incentive split
These calculations do not consider any service fee charged on billings. The results on this page are based on information available at the time. Always review the final legislation before making business decisions.
Please select the appropriate Modified Monash Model region from the drop down on the left to ensure the correct calculations apply to your Practice.
How to use this dashboard
Accessing the dashboard:
Practitioners need access to My Cubiko to view this dashboard.
💡 My Cubiko is an individual summary cabinet for the data-empowered Practitioner, providing insights and analysis into your billings, patients, and diary.
Using My Cubiko, practices can restrict Practitioner access so that each Practitioner only sees their own data if preferred.
See how to grant access here: Setting up access for Practitioners and Doctors to MyCubiko.
Using the dashboard:
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Select your Modified Monash Model (MMM) region from the dropdown on the left. This ensures the correct incentive rates apply to your practice.
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Review each figure to understand how your current billing pattern compares under the new incentives.
Dashboard Figures Explained
1. GP billings with current bulk billing behaviour
This shows what your total GP billings would be for the same set of services, assuming the same bulk billing rate after 1 November 2025.
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Includes: Additional incentives for patients who were previously ineligible.
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Excludes: The 12.5% incentive payment.
Example: $295,863.03
2. GP billings if adopting universal bulk billing
This shows what total billings would be if your practice switched to a fully bulk billed model.
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Includes additional incentives (for NRA items)
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Includes half (50%) of the 12.5% incentive payment
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Removes any private gap fees for relevant services
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Excludes any service fees that may be charged on billings
Example: $323,822.38 (plus $13,489.30 paid directly to the practice)
3. Comparison if adopting universal bulk billing
This compares the financial impact between maintaining your current billing pattern and adopting universal bulk billing under the new rules.
Example: $27,959.35
(plus $13,489.30 paid directly to the practice)
Comparison Breakdown
| Metric | Description | Example Value |
|---|---|---|
| Current bulk billing rate | The percentage of current GP-NRA services that are bulk billed. | 34% |
| Current billings | Historical total for GP-NRA services used as the base for calculations. | $289,354.43 |
| Additional bulk billing incentives | Extra revenue from bulk billing services that were previously ineligible. | $6,508.60 |
| Reduced private billings | Potential reduction from removing private gap fees. | $0.00 |
| Bulk billing incentives in lieu of gap | The value of incentives replacing private gaps if bulk billing is adopted. | $14,470.05 |
| GP share of incentive payment | Half of the 12.5% incentive payment allocated to GPs. | $13,489.30 |
Key Takeaways
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Review your current bulk billing rate and consider how adopting full bulk billing could change your revenue mix.
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The new 12.5% incentive can provide meaningful increases in billings, particularly for high-volume practices.
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Remember that actual financial outcomes will depend on service mix, patient eligibility, and final legislation.